HomeMy WebLinkAbout216093 01/09/2013 *F CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
CIVIC C SQUARE JACOB-DIETZ,INC
0 CHECK AMOUNT: $312.00
CARMEL, INDIANA 46032 2708 E MICHIGAN ST
INDIANAPOLIS IN 46201 CHECK NUMBER: 216093
CHECK DATE: 119/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 8491 312 . 00 BUILDING REPAIRS & MA
JACOB DIETZ, INC. Invoice
FIRE PROTECTION SPECIALISTS
130 South Ewing St. Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 tt/30/2012 8491
Bill To: Ship To:
City of Carmel Fire Department
One Civic Square
Carmel,IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
30917,30918,30916,30915 11/30/2012
Quantity Description Rate Amount
1 Semi-annual inspection of kitchen hood fire system for station 41 58.00 58.00
2 Fusible links 8.00 16.00
1 Semi-annual inspection of kitchen hood fire system for station 45 58.00 58.00
2 Fusible links 8.00 16.00
1 Semi-annual inspection of kitchen hood fire system for station 46 58.00 58.00
3 Fusible links 8.00 24.00
1 Semi-annual inspection of kitchen hood fire system for station 42 58.00 58.00
3 Fusible links 8.00 24.00
Subtotal $312.00
Sales Tax(0.0%) $0.00
If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total $312.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jacob Dietz
IN SUM OF $
130 S. Ewing Street
Indianapolis, IN 46201
$312.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1120 I 8491 I 43-501.00 I $312.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
JAN 7 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Irescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
%n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8491 Hood System PM -41, 42, 45, 46 $312.00
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer